Organization Active NPI

Fox and Thistle LLC

  • Clinical Social Worker
  • Bellingham, WA
National Provider Identifier
1245720861
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FOX AND THISTLE LLC
Practice address
203 W Holly St Ste 320
Bellingham, WA 98225-4329
Phone
(360) 421-2741
NPI assigned
May 18, 2018
Last updated
May 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Janet E Edwards, LICSWNPI 1568962405
Title
Provider
Phone
(360) 421-2741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

203 W Holly St Ste 320
Bellingham, WA 98225-4329

Mailing address

19091 Cook Rd
Burlington, WA 98233-9698
Phone (360) 421-2741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190610002879 WA Part B Supplier - Clinic/Group Practice 9931432705 Receives reassigned benefits from 1 practitioner
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

203 W Holly St
Ste 320
Bellingham, WA 98225
Phone (360) 421-2741

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1245720861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19091 COOK RD",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982339698",
            "telephone_number": "360-421-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W HOLLY ST STE 320",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254329",
            "telephone_number": "360-421-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX AND THISTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "360-421-2741",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.